Individual
DR. GEORGE LUNGREN VESTERMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01081874A
IN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
01081874A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027715
—
IN
Enumeration date
06/26/2013
Last updated
05/20/2024
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